吴美毓+祝费隐

[摘要]目的 探讨注射用间苯三酚用于促进产程宫颈软化的临床效果。方法 选取2015年3月～2016年4月我院接受的58例阴道分娩产妇为研究对象，采用简单随机分组方式将产妇分为观察组与对照组，每组29例。对照组产妇给予缩宫素，观察组给予缩宫素联合间苯三酚。比较两组产妇的宫颈成熟度、各产程时间、产后总出血量及产妇并发症发生率。结果 用药后，观察组产妇的Bishop宫颈成熟度评分明显高于用药前及对照组，潜伏期、活跃期均较对照组短（P<0.05）。两组产妇的第二产程时间、第三产程时间及产后总出血量差异无统计学意义（P>0.05）。观察组产妇并发症发生率明显低于对照组（χ2=6.72，P=0.01）。结论 注射用间苯三酚对宫颈软化具有促进作用，可有效缩短第一产程，减少产后出血量，降低并发症发生率。

[关键词]产程；宫颈软化；注射；间苯三酚

[中图分类号] R714.3 [文献标识码] A [文章编号] 1674-4721（2016）12（b）-0102-03

Analysis of clinical effect of Phloroglucin for injection in promoting cervical softening in labor

WU Mei-yu1 ZHU Fei-yin2

1.Department of Gynecology and Obstetrics，Shangrao Municipal Hospital in Jiangxi Province，Shangrao 334000，China；2.Queen Mary College，Medical School of Nanchang University in Jiangxi Province，Nanchang 330031，China

[Abstract]Objective To explore the clinical effect of Phloroglucin for injection in promoting cervical softening in labor.Methods 58 puerperae with vaginal delivery admitted into our hospital from March 2015 to April 2016 were selected as research subject.They were assigned to the observation group and the control group according to the simple randomization method，and there were 29 patients in each group.The control group was given Oxytocin，and the observation group was given Oxytocin combined with Phloroglucinol.The maternal cervical maturity，time of delivery，total amount of postpartum hemorrhage and incidence rate of complication were compared between two groups.Results After treatment，the Bishop cervical maturity score in the observation group was significantly higher than that before treatment and that in the control group，and the latency period and the active period were shorter than those in the control group （P<0.05）.There were no significant difference in the second stage of labor，the third stage of labor，the total amount of postpartum hemorrhage （P>0.05）.The incidence rate of complication in the observation group was lower than that of the control group （χ2=6.72，P=0.01）.Conclusion Phloroglucinol for injection can promote the cervix softening，which can shorten the first stage of labor and reduce the amount of postpartum hemorrhage and the incidence rate of complication.

[Key words]Labor；Cervical softening； Injection；Phloroglucin

宮颈弹性及缩宫强度是决定产妇在分娩过程中宫口扩张程度的两大要素，若分娩过程中，如果宫颈因为痉挛或水肿而出现弹性变差就会导致分娩阻力增加，产程时间延长或停滞，不仅可增加产妇的痛苦，而且可升高剖宫产率[1]。临床可适量使用宫颈松解剂，进一步提高宫颈的弹性，促进产程进展发挥[2]。本研究旨在探讨将间苯三酚用于促进产程宫颈软化的效果，为临床提供理论依据。

1资料与方法

1.1一般资料

选取2015年3月～2016年4月我院接受阴道分娩的产妇58例作为观察对象，采取简单随机分组方式将产妇分为观察组与对照组，每组29例。对照组：年龄为23～31岁，平均（25.96±3.12）岁，孕龄为39～42周，平均（40.03±0.94）周。……